Stealth Panther Robotics 6424 Application 23/24
Please answer as honestly and completely as possible.
Email *
Last Name *
First Name *
Gender *
Date of Birth *
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Grade you are in in during the 23/24 School Year? *
Parents name *
Parents phone number no dashes or () example 1234567890 *
Is this a cell or home number? (parents) *
Are text messages ok? (parents) *
Parents email *
Military Connected (Examples active duty, retired, guard, reserves, civil services, DOD employee) *
What other activities are you involved in? Pick all that apply.
If you selected other please explain?
What are your interests or hobbies? Please check all that apply. *
Required
If you selected other please explain.
Were you a member with 6424 last year? *
What FIRST programs have you participated in? (Check all that apply)
Do you have or have you had any siblings on the team? *
How did you hear about joining the team? *
Have you been involved with any other types of robotics teams? *
If so what teams?
Sub-Team Preferences 1st Choice *
Sub-Team Preferences 2nd Choice *
Sub-Team Preferences 3rd Choice *
Why do you want to join the Stealth Panther Robotics Team? *
What sort of career do you want to pursue? *
Tell us something we should know about you? *
Please list some of your strengths: *
Please list some of your weaknesses: *
What do you expect to gain from being on the Stealth Panther Robotics? *
How do you expect to contribute to Stealth Panther Robotics? *
Give an example of where you solved a complicated problem: *
Give an example of where you were required to design or build something that you were proud of: *
How do you work best?
Clear selection
Please explain your ideal working environment
Any additional comments?
Do you have any questions for us?
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